Andrew Joshua Bagley, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

10732 Issued in CO

Practice address

913 27TH Ave
Greeley, CO 80634-5808

Phone

(970) 353-3664

Fax

(970) 392-0922

NPI assigned

Sep 24, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1306197983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 27TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806345808",
            "telephone_number": "970-353-3664",
            "fax_number": "970-392-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 27TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806345808",
            "telephone_number": "970-353-3664",
            "fax_number": "970-392-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGLEY",
        "first_name": "ANDREW",
        "middle_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-24",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "10732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Back in Action Physical Therapy, P.C.
• Back on Track, P.C.
• Jodie Tutt Backurz, MD
• Madison Fay Badding, D.C.
• Kaily Ann Baer, MD
• Marci Bagley, MS, CF-SLP
• Steven Eugene Bagley, D.M.D.
• Faiza Iqbal Baig, DDS
• Adriana Bailey, LPC, LAC
• Sallie Bailey, AUD

• Dentist in Greeley, CO
• Providers in Greeley, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.